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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000395

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maurice HaroldKline Sex Male

Date of Birth April 6, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Gerald F. Kline MAIDEN NAME of Mother Mary Sheehan

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born 117 Edward St. Halifax Present address of Father deceased

Occupation of Father at Birth of child C.N.R. Checker Place of birth of Father Halifax

Race White Name and present address of Physician in attendance at birth Dr. G. Murphy

Signature of Applicant Edna Sheehan Address of Applicant 1816 Graden St. Halifax Date October 19, 1968

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maurice HaroldKline

Born at Halifax in the County of Halifax

That Maurice HaroldKline Whose Birth is sought to be registered was

born at Halifax Halifax County on April 6, 1921

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Certificate of Baptism from St. Thomas Aquinas Church, Halifax

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